Understanding Rapid Heartbeat and Dizziness After Exercise: Causes and Solutions
Is it a heart problem? Hello Doctor! At the beginning of this year, I noticed that after exercising (such as after playing basketball or running), I experienced symptoms like rapid heartbeat, dizziness, and lightheadedness. In June, I went to a medical center for a static ECG, a ...
Dr. Li Han Reply:
Hello Mr. Zheng, regarding your inquiry about the symptoms you experienced earlier this year, such as rapid heartbeat, dizziness, and lightheadedness after exercising (like after playing basketball or running), I must say that each of these symptoms is non-specific and can be cau...[Read More] Understanding Rapid Heartbeat and Dizziness After Exercise: Causes and Solutions
Understanding and Managing Unexplained Ventricular Premature Contractions
Regarding idiopathic ventricular premature contractions? Hello Doctor, I have a personal issue with arrhythmia. After examination by a specialist, it was determined that I have premature ventricular contractions (PVCs). During episodes, I sometimes experience up to 20 occurrences...
Dr. He Dongjin Reply:
Hello, this is not life-threatening, so there is no need to panic. This is mostly related to autonomic nervous system dysregulation, which can be caused by various factors such as anxiety, changes in weather, and menstrual cycles. A definitive treatment may require cardiac cathet...[Read More] Understanding and Managing Unexplained Ventricular Premature Contractions
Understanding Shortness of Breath: Heart Health Concerns for Seniors
Shortness of breath? My grandfather underwent a cardiac catheterization a few years ago, and recently the doctor has recommended another surgery, but he does not want to proceed. What problems could arise from this decision? He has been waking up at night due to shortness of brea...
Dr. Li Han Reply:
Hello Mr. Squirrel, regarding your inquiry—your grandfather has a history of coronary intervention and has recently experienced symptoms of wheezing and nocturnal dyspnea... This indicates that he has a history of coronary artery disease, also known as ischemic heart disease. The...[Read More] Understanding Shortness of Breath: Heart Health Concerns for Seniors
Stroke Patients and Heart Procedures: Risks and Legal Considerations
Stroke Hello, Doctor: 1. Can a patient who has suffered a stroke undergo a minimally invasive cardiac pacemaker procedure without life-threatening risks? 2. Is there no risk of death for a patient who has had a stroke undergoing cardiac catheterization and stent placement? 3. C...
Dr. Li Han Reply:
Mr. Wu: Unless one is merely an observer, any intervention in medical practice carries both risks and benefits for the patient. Medical ethics is a crucial aspect of physician training, emphasizing four fundamental principles: respect for patient autonomy, non-maleficence, benefi...[Read More] Stroke Patients and Heart Procedures: Risks and Legal Considerations
Understanding Heart Function at 32%: Options for Elderly Patients
Heart function is at 32%? Hello Doctor: My father is 80 years old with 32% heart function and has valve degeneration, along with diabetes. Is it true that he can only remain bedridden and cannot even sit in a wheelchair? His body is weak and not suitable for valve surgery. Does t...
Dr. He Dongjin Reply:
Hello, a 32% ejection fraction and the ability to move or use a wheelchair are two different matters. There may be other underlying conditions, such as a stroke. Regarding other options, it depends on the patient's and family's level of engagement. Has a cardiac cathete...[Read More] Understanding Heart Function at 32%: Options for Elderly Patients
Understanding Post-Stent Surgery Care: Medication, Checkups, and Doctor Changes
Vascular stenting procedure My father underwent a vascular stent procedure at Cathay General Hospital four months ago. After the surgery, due to the poor attitude of the doctors at Cathay General Hospital, he decided to get his cardiovascular medication from the National Health I...
Dr. Lin Jixiong Reply:
Hello: 1. After undergoing vascular stenting surgery, it is essential to continue taking medication, and do not discontinue it without the physician's consent. 2. There are no strict regulations on how long after cardiovascular interventional procedures one should wait b...[Read More] Understanding Post-Stent Surgery Care: Medication, Checkups, and Doctor Changes
Confusion About Next Steps in Cardiovascular Treatment: Seeking Clarity
Feeling confused about the next steps in treatment? Hello Doctor: I have previously undergone an exercise electrocardiogram (with poor tolerance, my heart rate reached 206 and blood pressure was 189/142 after running for 3 minutes). I am not sure if the short duration of the run ...
Dr. He Dongjin Reply:
Hello, you may be able to find a nearby cardiologist to adjust your medication without the need for a cardiac catheterization, as it is unlikely to improve your symptoms. Most of the tests mentioned are normal, and your shortness of breath does not correlate with the findings, wh...[Read More] Confusion About Next Steps in Cardiovascular Treatment: Seeking Clarity
Understanding Blood Pressure Differences Between Arms: What You Need to Know
Is there an abnormality if there is a difference in blood pressure between the two arms? 1. What is the normal range for blood pressure differences between the two arms? Is a difference of approximately 25-35 mmHg in a man's blood pressure between the left and right arms con...
Dr. Bu Shiyun Reply:
1. It is common to observe a difference in blood pressure readings between the two arms, typically around 10 to 15 mmHg. If the difference is significantly larger, it may indicate the presence of vascular stenosis in one arm. 2. After the administration of a contrast agent, it ...[Read More] Understanding Blood Pressure Differences Between Arms: What You Need to Know
Are There Restrictions on Heart Tests After Balloon Angioplasty?
Is there a restriction on performing cardiac examinations within six months after balloon dilation surgery? Hello, my father has no history of heart disease but has a family history. In November 2009, he experienced chest discomfort while cycling and sought medical attention, whe...
Dr. Lin Jixiong Reply:
Hello: After undergoing balloon angioplasty, patients generally experience restenosis due to their physical condition within about six months. If a patient continues to experience chest discomfort after the procedure, they should proactively inform their attending physician durin...[Read More] Are There Restrictions on Heart Tests After Balloon Angioplasty?
Understanding Post-Heart Attack Symptoms: A Family's Struggle for Answers
Doctors must see. Thank you! Hello, doctor! Here’s the situation: My mother suffered a myocardial infarction last year and collapsed in the emergency room. The doctors in Penghu revived her with electric shocks, and three hours later, they arranged for a helicopter to transport h...
Dr. Bu Shiyun Reply:
There are many reasons for shortness of breath, and heart problems are just one of them. If a second catheterization has ruled out the issue of vascular stenosis, it is still necessary to consider the condition of heart function. If heart function is still good, it is possible th...[Read More] Understanding Post-Heart Attack Symptoms: A Family's Struggle for Answers
Understanding Sudden Chest Pain and Shortness of Breath in Seniors
Elderly individuals may experience sudden chest pain and shortness of breath? Hello, doctor! I would like to ask about my mother-in-law, who is about 73 years old and has no history of cardiovascular diseases. Over the past six months, she has experienced several episodes of ches...
Dr. He Dongjin Reply:
Dear Kelly, chest pain and shortness of breath should first rule out cardiac conditions such as angina or paroxysmal arrhythmias. It is advisable to consult a cardiologist for a detailed examination. A basic electrocardiogram may not always show abnormalities, and further tests s...[Read More] Understanding Sudden Chest Pain and Shortness of Breath in Seniors
Is Cardiac Catheterization Necessary for My Father's Angina?
Is it necessary to undergo cardiac catheterization? Hello Doctor: Recently, my father underwent a physical examination. After reviewing his electrocardiogram (ECG) and exercise ECG, the doctor diagnosed him with angina and recommended a cardiac catheterization. What is the purpos...
Dr. Lin Jixiong Reply:
Hello: Cardiac catheterization is a procedure designed to assess the coronary arteries and the physiological conditions of the heart. It can help determine if there are any blockages in the coronary arteries and evaluate whether the pressures in the heart's chambers, includi...[Read More] Is Cardiac Catheterization Necessary for My Father's Angina?
Understanding Pacemakers and Heart Rate Changes in Elderly Patients
Cardiac pacemaker and heartbeat? Dear Doctor: I would like to inquire about the issues related to my father's pacemaker and heart rate. He is 73 years old and had a pacemaker implanted 8 years ago after a cardiologist deemed it necessary following a cardiac catheterization....
Dr. Bu Shiyun Reply:
Many factors can affect the condition after pacemaker implantation. Typically, if the pacemaker is set to 60 beats per minute, it means that when the heart rate is too slow, the pacemaker can stimulate the heart to beat at 60 beats per minute. However, heart rates exceeding 60 be...[Read More] Understanding Pacemakers and Heart Rate Changes in Elderly Patients
Understanding Coronary Artery Narrowing: Tests and Lifestyle Changes
Cardiovascular stenosis Hello Doctor: I have been experiencing left chest tightness (I previously had a heartbeat stop for about 3-5 seconds) and went to the hospital for a series of examinations. The results are as follows: 1. Electrocardiogram: Normal. 2. Chest X-ray: No enlarg...
Dr. Bu Shiyun Reply:
1. A multi-slice computed tomography (CT) angiography can be considered; if cardiovascular issues are identified, then cardiac catheterization may be warranted. However, the CT angiography is an out-of-pocket expense (not covered by national health insurance) and costs approximat...[Read More] Understanding Coronary Artery Narrowing: Tests and Lifestyle Changes
Understanding Cardiovascular Issues: A Patient's Journey Through Diagnosis and Treatment
Cardiovascular disease Dear Dr. He, I apologize for my unclear writing, which may have caused some confusion. I have some questions that I feel uncomfortable asking my doctors, even though I know it's my right as a patient. At the age of 29, I first visited a cardiologist, ...
Dr. He Dongjin Reply:
Dear Dan, I am not sure which hospital you visited before. Have you been to National Taiwan University Hospital? With antibodies and vasculitis, it is likely that you are concerned about the inflammation of blood vessels, which can make them more fragile and difficult to heal a...[Read More] Understanding Cardiovascular Issues: A Patient's Journey Through Diagnosis and Treatment
Post-PCI Hypertension: Causes, Diagnosis, and Management Insights
Hypertension discovered after cardiac catheterization? Hello Doctor: Thank you for your previous helpful responses. My father underwent PCI (PTCA & PTCS) six months ago due to an acute myocardial infarction (AMI). In the first two to three months, he occasionally experienced ...
Dr. He Dongjin Reply:
Dear Jiun, generally, undergoing cardiac catheterization does not cause high blood pressure. There are many reasons for high blood pressure. To put it simply, this winter has been colder, and blood pressure tends to be higher than usual; this is a common situation recently. Alcoh...[Read More] Post-PCI Hypertension: Causes, Diagnosis, and Management Insights
Post-Cardiac Catheterization Complications: Understanding Risks and Symptoms
Post-catheterization complications? Hello Doctor: My father underwent coronary stenting and balloon angioplasty in mid-August this year due to an acute myocardial infarction. He has been taking his medications on schedule and attending regular follow-up appointments. However, he ...
Dr. He Dongjin Reply:
Dear Jiun, The prognosis after acute myocardial infarction (AMI) surgery differs from that after surgery for simple angina. AMI involves myocardial necrosis, and factors such as which artery is occluded, the location of the infarction, the time taken to receive medical attention...[Read More] Post-Cardiac Catheterization Complications: Understanding Risks and Symptoms
Understanding Second-Degree AV Block: Symptoms, Risks, and Management
Atrioventricular (AV) block In 2004, during my military service medical examination, I was diagnosed with second-degree atrioventricular (AV) block, Mobitz type II, intermittently. At the end of 2005, I underwent a cardiac catheterization, and the doctor stated that my heart was ...
Dr. Lin Yongguo Reply:
To KEN / 25 / 0:1. Second-degree atrioventricular block, Mobitz type II, intermittent. A cardiac catheterization was performed at the end of 1994, and the doctor stated that the heart is healthy with no issues, indicating a conduction disturbance. Generally speaking, Mobitz type ...[Read More] Understanding Second-Degree AV Block: Symptoms, Risks, and Management
Understanding Abnormal T Waves in ECG: Causes and Solutions
Abnormal T wave in electrocardiogram (ECG)? Hello, Doctor Huang. My electrocardiogram shows abnormal T waves at rest, and during the exercise stress test, the T waves alternate between normal and abnormal. Sometimes I feel pain in the left inner side of my chest, and it occurs in...
Dr. Huang Guosheng Reply:
Hello: The diagnosis of ischemic heart disease can be made based on clinical symptoms as well as resting and exercise electrocardiograms (ECGs). Clinical symptoms may include chest tightness and discomfort, which worsen with exertion and improve with rest, typically lasting about...[Read More] Understanding Abnormal T Waves in ECG: Causes and Solutions
Understanding Rapid Heartbeat and Dizziness: Cardiovascular Insights
Could you please provide the content you would like me to translate? Dr. He, I would like to ask you about something. I often experience dizziness, rapid heartbeat, chest tightness, and at night when I sleep, my heart feels like it's racing as if it might jump out. Could you...
Dr. He Dongjin Reply:
Dear Enjoy, the symptoms you described are known as palpitations, which may be related to endocrine issues or mitral valve prolapse. Medication can effectively improve these symptoms. Mitral valve prolapse (MVP) refers to a condition where the mitral valve, located between the ...[Read More] Understanding Rapid Heartbeat and Dizziness: Cardiovascular Insights